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___�,�_ CITY OF DIAMOND BAB C_V DEPARTI�dENT OF COMMUNTTY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)86Q3193 Fax(909)861-3117 PRESS " '��� BUII.DI�G APPLLCATION FIRMLY � JOBSITE L APPLICATION + � PERMIT J IC b ��� o ADDRESS � DATE � NUMBER � t � ISSUE ' TYPE OCC APN LOT �TRACT UATE CONST. GROUP p OWNER A+ [ � � ADDRESS �G I K_ ZONING SETBACKS CITY ��Cl�aYl�-�lY I TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDElSIQE STREET RW ❑ CONTRACTOR SIDE ❑ g ADDRESS CITY ZIP TEL. PROPOSED USE � ARCFUENG/ , DESIGNER NO.DWEL. NO. NO. ADDRESS UN1TS STORIES BEDROOMS � CI7Y ZIP TEL. N DESCRIPTION S�.FI: FACTOR PSF ADJ.AREANALUATION d OWNER•BUILDER DECLARATION SFRlAODfREM O 1 HEREBV AFFtlW UNOER VENAL7Y Oi PEMIRY 1NAT I AIA EXEMP7 FpOM THE CaMfRACtORS ll• GBfeOB/CelyOlt CENSELAWFORTMFfOLLOWtNOREA50N�SEQ703t.68U9WE59MAPROFESSION9000E:ANYCITYOR (n OdIMfYMMM71RE0llIRESAPEN4RlOCdJ9TFM1Cf,ALTEqMIPROYEOEMOL19i.ORREPoURANYBTRUC• W P8ti0/DBCk 7UpE,pqqR lp fT5 169UANCE,ALSO pE0U1RE5 TNE APPLN'.MR iOR ffi1CM VEiU1R TO fIL6 A BIONED W BTATEAIENT TIAT HE OR BHE I6 LICQJSED PURSUMJT TO THE PPDVISIONS OF THE OONTRACTOR9 ll- CETISE IAW(pi�PTER�(COMMENCINO WI7H lECTION 1ano�OF UIVISIDN 7 OF THE BUSINE55 AND PRO- u' P�VSpa FESSqNS COOEJ OR7W1T NE OR 8HE IS IXEMPT iMEREFROM MD iNE BASI9 FOR 1NEALlEOED IXEMP- TpN.ANYVIOlAT10NOF9ECT10N7C91.6BYAN7APPLICANiFOH�PEHMR8UBJECTSTHEAPPLICANTTO Z R8-R001 � A CNf'75NALTY OF NOT YOf�E TNAN FNE HUNDRm DOIWiS(i500�.): � �ASDWNEROFiHEPROPERTY.ORMYEMPLOYEESWITHWA0E9ASTHEIRSOLECOM7FNSA710N, O Commerclal - YIILL 00 TME WORI(AND THE BTRUCTURE IS NO7 INTENDEO OH OFFEpEO FOR SALE(SEG 70N,BUSI- J NESS N1D PROFESSIONS CODE:IME COHTMMOR9 LICEIVSE LAW OOES NOT APPLY TO AN OWNER OF y M10PEATYWIiOBULDSORWPROVE6iHEREON,ANDMi110DOE88UC71WORKHI1ASElFORHER9ELFOR = T}WOUGHMSORlIEHOWNFMPIAYEES,PROVI�ED7HAT8UCHUAPpOVEMEMSMENOTWTENDWOR � OFFBiED FOR BALE IF FpNIEYERTME BU0.dN(iOfi MAPROVEMENT q 50LD WITIIIN ONE YEAROF WMPIE �TqN,THE OWNERSUIIDER MIILL FNVE 7FIE BURDEN OF PROVNO 7NAT FIE OR SNE OID NOT BUIID pR IMPPOVE PDR TME PURPOSE OF BAIE} °r+.� 041�40WNEROFi1�VFOPERTI!NIE%CLU3IVELYCONTRACiINOWfTFILIC@lSEDOONTRACTORS T000�6TqUCT 7NE Pq61ECT(SEG 7oM,BU8INESS IW�PROfES310N5 OODE:THE CON7AACTORS LI• VelUNI0f1 ADJ.AREA CENSE IJ1W DDE9 NOTA7GLY 70 MI OMMER OF A GROPERTV YVIq BURD5 OR MPpOVE9 7HEREON,ANO WFIOOONTpACTSFOqBUCHPROJECTSWITI�ACONfRACfOR(S)LICEN9EDPURSUANTTOTHECq1TRAG pUANTI �DESCRIPTION FEE � IORS UCQ18E LAW J. . . O I AN EXEMP7 UNDEH SEC. B.�P.C.iOR TMS REASON � U LR. � DATE ONMER �sss[[[ LICENSED CONTRACTORS DECLARATION W � 1 MEREBY�1iFIfqA UNOER PENKtt OF VERK11iY THAT I11M UGENSED UNDER PpOVI510N6 OF GNAP7ER � �(OOMMENGPq W1TX 8ECT10N 7000�OF UM6qN 7 0F 7F7E 6USINE5S MID PROFE55pN5 CODE,AND Z MY IICENSE 16 N Ml FORCE NJD EFFECT. m � LICENSE C1A55 LIC.NO. jJ �I� � DA7E CONTRACTOR a ��[ V WORKERS'COMPENSATION DECLARATION � � INEREBVAFRRAUNDERPENALTVOFPEiWRYONEOFiNEFOLLOWINODECIARATqNS: V � a � _IINVEANDNALLMNNTIIMACERfIFlCATEOF00N5EMTOSElFdNSUREFOPWORKERS' _ COMPENSATpN.11S CROVIDED 8Y 8ECT10N 77W OF THE LABOR C00E,FOH THE VERF011MANCE W Q OF TME WORK FOR WHICH TNIS VEIiMIT IB ISSUED. � ��yj _I NAVE AND VNLL MNMIIM YYORKERS'COMPENSA710N INSUIUWCE,AS REGUIREG BV SECTION . /1 � 9T00 OF THE LABOR OODE,FOH 7FIE PERFORMIINCE OF THE WORN FOH NMIp17H15 PERMR IS ��Yr J � L43UE0.WYWORKERS'ODMPENSATIONINSURIWCECARRIENANOPOICYNUMBERME, CONSTRUCTION V � C�iRIFR vuw AEvi�w � POLICV K1YeER ELECTRIC ,-. C fiH69Ec�laiNEIDwiBEOp�PLE7WaF7HEPEfMtst�ORquElll�piEooaL��it001aRLE43� PLUMBINQ Z 1 CERTFYTHI�71N TIE PEPFOi1MANCE OF THE WORK fOR WHICH THIS PEHMrt IS ISSUEU,1 MECHANICAL � SFiALL NOT EMPIAY ANV PERSON N ANY MIWNER SO/�S 70 BECOME SU9JECT TO THE � WORKERS'COMPENSA7qNUWSOfCALIFOMIV�AN�ACiREETHATIFIS/10UL�8ECOME INSPECTIONFEE S SUB,IEGTTOiNEM10RKEH5'OOMPENSATqNPROVIS10N30FSECT10NJ70oOFTHEUBOR CO�E.I SFULL FORfHWITM COMPLY WITH 7HO6E VROVISIONS. ISSUANCE � � SMIP p DATE: APPL�CANT. � WARNINGFA0.UflETOSEGUREW011KER5'COIAPENSATIDNCOVERAOEISUNLAYYFUL,AND9MALLBE ENERGYP/C BUBJECE N!E►IPLOYER TO CRIMEVAL PENALTIES NVD GINL FINES UP TO ONE lAINDRED TNOUSAIm ENERGY PERMIT � OOLIARS({100,OOOI,IN AW ITION TO TXE COS70F COMIPENSATqN,OAMA�ES AS PHOVNEO FOfi IN � BEC710N9)oeOFTHELABORCODE.MERESLMIOATTOfWEY'SFEES. RETENTIONFEE: CONSTRUCTION LENDIN�AOENCY pqE_ � • O � IHERFBVAFFlqMUNDERPENAITYOFPER1URYilIATTHERERACON57RUC71(FlLENDN[iAGENCY FOR TFIE GERFORMANCE OF THE WORK FOR NM1ilqi iNl9 iER1AlT 16 ISSUED�SE4]OB7,Crv.FI. � IFN�ER'S NM1E � LENDER'BAODRE85 _ ` I CERTIFY TMAT I HAVE READ TIIS MPLICATqN AND 9TATE 7HAT TiE ABOVE INFOMIATION IS CORRECL TOTAL FE ES L�^ "�. 1 A6REE TO COMPLY WffM iW.CRY IND COIMfY ORDINANCES AND BTATE LAWS REUTINO TO BUILDINO �/�.[7�, OdlSTNUCTION,AND NEREBV AUiFqRIZE REPRESENTATIYES OF 1HIS COLINTY TO EMFN UPON 1NE +[/ �/Y 1 S� IBOVE-MENTqNEO PROPERiV FOR INSPECf10N PURPQ4E5. e COMMENTS � �v"�J 5 � t m PERMITTEE NAME(PRllin � 4 � y &ONRUP.E OF PERMRiE DATE r� RECPT.NO. P/I�D BY � VALIDIITION F WHITE rtm py,VELLOW�inance Ca�y,PINK—Assesaor Copy,GOLDENRO�FIIe Copy,OREEN—Appli t's Cqry GtTY OF DIANiQND f��tF� . . Iht��EC�'I�I�1 RECOF�[3 .. . . .. �. ,„ � ] y .� .� u . 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